Proxy Statement Form

Proxy statement for the UUCPA Congregational Meeting
I ____________________________ hereby authorize
(print name)  
_________________________ to 
(print name)
vote on my behalf in the Congregational Meeting on (date) ________________________.
Signature  ______________________
Date        _______________________

Print this page. Return completed proxy form to the church office or the Secretary as early as possible and no later than 15 minutes before the meeting begins.

You can vote by absentee ballot or proxy, but not both.

A member can hold at most one proxy. Be sure to check with the member you are designating as your proxy to be sure that they have not agreed to be acting as proxy for someone else.


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